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Home My WebLink AboutPermit Electrical 2004-1-13 225 FIFTH STREET' SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)n~;ga' ELECTRICAL PERMIT APPLICATION Date City Job Number ~24D~-tJ~ Date t//~/.of Authorized Signature o ~1~.;(Z:~r.w,~..-:,,o;:"'1o:~!":"l':..':..l;M'<.~!:,!,,'&!!~s;r~~;,~,,~,-,,~;..d!i.:tn:r";;l:;;:-;::'..;i.if:h~~iI;(~, '1'" 3. \),eOlVLfWETEEEEiSCHEVr:TLEBELOW.'f"""iiZ,\ltr.'\;.;;'d" ~,"',' """".~;;u......:!~~-r...~...::'-li'~'ii...m;~;l~.::.~~.~-I'lZ:'~l~W~'::t~.J.;;;j......~;:r~a.~!t."l:,~,:~r:.~'J;" ~~~~"~J,~,'t'.~""'.j::o>l':<1$>'lI,~;:,~"........t'rt~.r;i,t,~~'\'!,~~~~~",~fc-gfJ!*', L /fLOCATIONOFINSTAEI!Nl1ON1;ifif.y;i",ifJ! "'~'iir"''';;';\i,''''\r~'''''''i~',1:f~~H.i.:~''''''''it;;.'ol.f:t.7l:';A ;.;: ..." ~d, 24"'~ /I/A-tA' '-P. LEGAL DESCRIPTION J 7 ~~ _7-5".(+ ~1J(J, . JOBDESCRIP~ON' .4Id/AalI CI~, ~-f( r I~' 7'A;(C, PermitS are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days, . ',j.1.~""l:'''''=, _~."'_2;~~:.?"'''''"', .''''''', , '^Tt(::[.......u;'<>'lol>~..."-=:M.~~~~. iJ'eONTFRA:(Jl!ORiINST:Ar-'p'4.nOMONE'I~ 2. ~~~-g:f"~~;;.~~~~;~';>';,"'~:t':'i'iAtl~~..w:l:. Electrical Contractor Orris tens on ElectriC: Address 1298 Be th" 1 !P-i Vp Ci!y Eugene Phone 541-688-6121 Supervisor License Number 3759 S Expiration Date 10/01/04 Constr.. Contr.. Number 26- 34C t as submitted has 'the following of require specific land use LD(L ,'. \ -I to ~O.f ~U...J ~l~:,.~~...;.o;:~"'in'~"""'" .'~;;.r~~;.i'."'Ni-~;~"el:o:..~,;;;..,r{~';~~~1**~\'lT~, ,:m:;,;m.t, , ""NM'R'~'de' ".. '1" 'S"---l~"" 'M"lti-'" F"~,i^~~~"d ' '11i'" ."',.. ~, .~. ~ e.w:.' eSI n IS '..:.~ ffiO' eiOT11 U .; .i:lJU.llV, per,~ we nO'"umt:~ ..~~_.. ."..._,<>",,".~~~~...,_..i"'_.''''''''''''~~ ....,~"....~^'~l'.~!k!.I.).;.;.."\:l1.. Service Included' 1000 sq.. ft.. or less Each additional 500 sq.. ft. or . portion thereof . Each Manufact'd Home or Modular Dwelling Service or Feeder ' $106..00 $ 19.00 /~'-, ( 2., $50.00 :1 /t"J1H 1 ~'~::1~",;",,;;~;';",,-)':.,"~;~~~_~if-~'Si:s"'!':'':~.'''..t...~.J:~!&i.''''''''"fO,.''''~~~<'- ~~ B. !}SeqiceS;:o~lE~~Ifutallatio!!i~A1t.e(ati1iii~W;ReIocati(j'n:(f'. , ~.""~"" ..,..~t._...._.._._..~,.~.~~'"':Y'..l<,..q"...~ ,",I's-&:n;.-1~~'-O- 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/V olts Reconnect Only / fo3. /TO $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50..00 C It;y.'"':P.~~~S'-->::''':''!'h-;-!~t~'''>:::E''k.d'~~r..~~,.t:' .....- ~;:~.-' ";", '^~~ . ~p.l'emp'o900 er.Ylces~or':- ,ee er,,,.~,'&i~~~~~~ " '...... ~... \-' ~ NOTfC~~ ...... -"~".-IF'HE~~' .h'" , IH~sEliBli1IJ, ~~~~~)S~~~IS NOT . AUJdOOOJ~Jb\.~~(iABANDON(c mR $ 50..00 ClOO1~~&lJJ~ IT $ 69.00 A~~lw;l~IftY&li I pi' $100..00 Expiration Date 10/01/04 Over 600 Amps or 1000 Volts see "B" above. ' "lt~4-,@~~:M- D.~~ U ,Each Additional Circuit or with I - ~ , '/2 /? _~ _ Service or Feeder Permit . i';}!."-. $ 3..00 cZ3,t:iD I Owners Name --A:fPt) ~ VT7 /~. Add '" ~'..; . J~ ,. ~,,~"lHollilif~~,liIl Cityrest~ / .I:~/-," ATTENTIIONd:~ii~Er;;::g~Y~~~f~"'"C'~'h':'::::'.~'''~..~~e , i \OIlUYV'U as a P'''O uJ' . . , ':iotification Ca iifl?IrNCl!OO h~llhri.J18fa set tQrt $ 50.00 OWNER INSTALLATION ' "', OAR 95.2i,?9~~i~~!\9~l/al2~O\ $ 25..00 The installation is being made on property I oWfi)!Mlici{ou may biPUtild Efil;il@CO!n\l18'rdl'dl $ 45.00 . . d d < al 1 ' t,--..",ntor :1~g..Wl>th~'l'l!!p'hone IS not mten e .or s e, ease or rent n~~~;r f~_~i:J~~~~,,~"::';:':f.:;urc~arges _. Owners Signature: "'~4''!i;SUBytOT,;w<CI~(,JVE;.(i:..'i'l'~~~~~"" 'J/~ ~ '"::::::=:::~~~~~~~i:,t ~~J ". ~ ~\'()\ 10% Administrative Fee Id~ .'r, IJ11i!!:.) Inspection Request: 726-3769 \~J:rlRD TOTAL - rJr7 z.. 2.. ,/~~ l "^ ~ I {' . ~. - .f:::J.J \ Shared Drive(T:)/Building FonnslElectricnl Permit Applic:ltion 1..Q3.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2003-01135 ISSUED: 12/04/2003 APPLIED: 11/12/2003 EXPIRES: 07/14/2004 VALUE: $ 78,700.00 SITE ADDRESS: 2458 MAlA LP ASSESSOR'S PARCEL NO,: 1703251404400 Springfield TYPE OF WORK: Manuf Home w Garage/Carport Private TYPE OF USE: New Residential PROJECT DESCRIPTION: MH wlgarage Owner: RON BOTTOM Address: 8777 OAK ISLAND VENETA OR 97487 Contractor Type Electrical Manuf Home Inst I CONTRACTOR INFORMATION I Contractor CHRISTENSON ELECTRIC INC RAY SHARP CONSTRUCTION INC Phone 541-688-6121 541-345-2279 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: License 458 60926 Expiration Date 05/01/2007 07112/2005 BUILDING INFORMATION I 1 # of Stories: 1 Lot Size: 5,585 R-3 Height of Structure Sq Ft 1st Floor: 1,587 U-l Type of Heat: Forced Air Elect Sq Ft 2nd Floor: VN Water Type: Electric Sq Ft Basement: Range Type: Electric Sq Ft Garage/Carport 2 Energy Path: Sq Ft Other: N01\CE'. , ~\'" ~m~WI\~~~'1\1!~lt': I DEVELOPMENT INFO~UON~~ ~U'NDER 1HIS hKI'I~\I \ h" \.:31 "" ..Il . ,,"'-0" . "V MMENCED OR IS AB,,"IaQ ARKING Overlay Dist: C~'\1 '80 DA'i PERIOD. Total: 2 # Street Trees Rqd~I", 1 Handicapped: Paved Drive Rqd: Yes Compact: % of Lot Coverage: 37.30 SETBACKS ,.. Frontyard Setback: 18.00 Side 1 Setback: 22.00 Side 2 Setback: 5.00 Rearyard Setback: 10.00 Solar Setbacks: 5.00 Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I Sid~\Valka;~l/aw requireS you to ATTENTION:ureg r9 on Utility follow rUle~~8~ell'l~~~~s ;re set fort' ~otification Center. Thh gh OAE:I 952..()() .:001.()()10t rou '/ I OAR 952 . btaih'copies of the fules l ::l090. :ou,may 0 Note: the telephone calling the center. ( Utility Notification number,!~~~~~;~~~~~;_332_2344). Private Infrastructure, Notes: '.. Pal!e 1 of4 . . CITY OF SPRIrlihl'mLD Building/Combination Permit PERMIT NO: cOM2003-01135 ISSUED: 12/04/2003 APPLIED: 11/1212003 EXPIRES: 07/14/2004 VALUE: $ 78,700.00 Status Issued 225 Fifth Street, Springfield, OR 541-726.3753 Phone' 541-726-3676 Fax 541-726-37691nspection Line I Valt11ltion Oescril)tion I II III Foundation Onlv Garal!e Manuf Home Use Bid Amount Garal!e Manufactured Home $ Per Sq Ft or multiplier $1.00 $23.80 $1.00 Square Footage or Bid Amount 2,800..00 500.00 64,000.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $2,800.00 $11,900.00 $64,000.00 $78,700,00 ll/12/2003 ll/12/2003 ll/13/2003 'Fpp< P~\lLI Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $95.16 ll/12103 1200200000000002454 + 10% Administrative Fee $58.94 12/4/03 1200200000000002549 + 70/0 State Surcharge $41.26 12/4/03 1200200000000002549 Add, Alter, Extend Circ Ea Add $3.00 12/4/03 1200200000000002549 Addressing Assignment $8,00 12/4/03 1200200000000002549 Annexed 1979 or Before $-156.63 12/4/03 1200200000000002549 Building Permit $146.40 12/4/03 1200200000000002549 Manuf Home State Issuance $30,00 12/4/03 1200200000000002549 Manufactured Home Connection $45..00 12/4/03 1200200000000002549 Manufactured Home Feeder $50..00 12/4/03 1200200000000002549 Manufactured Home Placement $160..00 1214/03 1200200000000002549 Manufactured Home Service $50..00 12/4/03 1200200000000002549 Plan Review - Planning $59.00 12/4/03 1200200000000002549 Sanitary Sewer - 1st 50 Feet $45.00 1214/03 1200200000000002549 Sanitary Sewer - Improvement $326.99 1214/03 1200200000000002549 Sanitary Sewer - Reimbursement $430.16 . 1214/03 1200200000000002549 SDC MWMC Administration $10.00 1214/03 1200200000000002549 SDC MWMC Improvement $214.23 12/4/03 1200200000000002549 SDC MWMC Reimbursement $314.63 12/4/03 1200200000000002549 SDC SanitarylStorm Admin $96.89 12/4/03 1200200000000002549 SDC Transpo Admin $51.23 12/4/03 1200200000000002549 SDC Transpo Improvement $727.42 12/4/03 1200200000000002549 SDC Transpo Reimbursement $164..89 12/4/03 1200200000000002549 Storm Drainage Impervious Area $930..61 12/4/03 1200200000000002549 Storm Sewer - 1st SO Feet $45.00 12/4/03 1200200000000002549 Water Line - 1st SO Feet $45..00 12/4/03 1200200000000002549 WlIlamalane ManufHome Private $1,000.00 1214/03 1200200000000002549 -Mechanical Issuance Fee- $10..00 l/13/04 2200400000000000028 + 10% Administrative Fee $4.50 1/13/04 2200400000000000028 + 7% State Surcharge $3..15 1113/04 2200400000000000028 Gas Outlets 1-4 $4.00 1/13/04 2200400000000000028 Minimum/Adjustment Mechanical $41.00 1113/04 2200400000000000028 + 10% Administrative Fee $6..60 1/15/04 1200400000000000061 + 7% State Surcharge $4..62 1/15/04 1200400000000000061 Pal!e 2 of 4 . . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2003-01135 ISSUED: 12/04/2003 APPLIED: 11/12/2003 EXPIRES: 07/14/2004 VALUE: $ 78,700.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less, $3.00 $63.00 1/15/04 1/15/04 1200400000000000061 1200400000000000061 Total Amount Paid $5,132..05 Initial Review Planninl! Review Public Works Review Structural Review To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. IRp~ 1 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 2 Footing: After trenches are excavated. 3 Foundation: After forms are erected but prior to concrete placement. 4 Shear Wall Nailing: Before covering sheathing with finish materials. 5 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 6 ManufHome Set Up: When installation of all piers or stands is complete. . 7 Final ManufHome Set Up: After all required inspections are requested and approved and porches, skirting, decks, venting, street address numbers, trees, driveway, etc. have been installed. 8 Final Building: After all required inspections have been requested and approved and the building is complete. 9 Underfloor Drain: Prior to cover or placement of concrete, 10 Water Line: Prior to filling trench and including required testing. il Sanitary Sewer Line: Prior to filling trench and including required testing. 12 Storm Sewer Line: Prior to filling trench. 13 Manuf Home Plumbing: After home has been connected to water and sewer. 14 Rough Electric: Prior to Cover, 15 Electric Service: Approval required prior to utility company energizing service.. 16 Final Electric: When all electrical work is complete., Pal!e 3 of 4 . ... CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2003-01135 ISSUED: 12/04/2003 APPLIED: 11/12/2003 EXPIRES: 07/14/2004 VALUE: $ 78,700.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line By signature, 1 state and agree, that 1 have carefully exami~ed the completed application and do hereby certify that all information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made ofany structure without permission of the Community Services Division, Building Safety. I further certify'that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pal!e 4 of 4 .'225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-01135 COM2003-01135 COM2003-01135 COM2003-01135 COM2003-01136 COM2003-01136 COM2003-01136 COM2003-01136 Payments: Type of Payment Check ~ _~_QFI~ ,,_,...1 1111..,'.......,',..,.....,",'" , " " - - J , , !m.~; i 'Wli1 -- . """",.,,,.,- --,.-' .-- ".... " City of Springfieltl Official Receipt Development Services Department Public Works Department Date: 01115/2004 1:05:02PM Amount Paid Receipt #: 1200400000000000061 Description Perm ServlFdr 200 amps or less Add, Alter, Extend Cire Ea Add + 7% State Surcharge + 10% Administrative Fee Perm ServlFdr 200 amps or less Add, Alter, Extend Cire Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By RAY SHARP CONSTR INC Received By djb Check Number Batch Number Item Total: 63.00 3.00 4.62 6.60 63..00 3..00 4..62 6.60 $154.44 . Authorization Number How Received In Person Payment Total: Amount Paid $154,44 $154..44 .